Individual
LESLEY SONNET NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1100 W 2700 N, PLEASANT VIEW, UT 84404-4791
(801) 475-3010
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5354984-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
5354987-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720519895
—
UT
Enumeration date
03/21/2017
Last updated
02/04/2021
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